The more MCTS exams I take the more I believe you need to study the exam vs. study the material.

Sorry, but get back on it and concentrate on the weak areas (you should get a bar graph report showing them).

Knowing the material in and out helps in two ways: One, it will help you weed out the correct answer, or at least narrow down the usual two close ones; and two, you will be a better and more confident IT pro.